Goodman, Joan Marie

Goodman, Joan Marie is an individual health care provider with primary practice located at 383 S. Park Ridge Rd. Ste 102, Bloomington IN 47401-8574. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Goodman, Joan Marie can be contacted via phone (812) 330-5250.

Contact Information

Primary practice address
383 S. Park Ridge Rd. Ste 102 Bloomington IN 47401-8574
Fax: (812) 330-5240
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000412A Indiana

Profile Details

NPI number 1700065505
LBN Legal business name Goodman, Joan Marie
Credentials RN.C., W.H.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700065505 NPPES
Indiana Other 71000412B IN PROFESSIONAL LICENSING AGENCY
Indiana Other 71000412B IN PROFESSIONAL LICENSING AGENCY

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